04-102511 City o Federal Way
Community Development Services Plumbing Permit #:04 - 102511 - 00 - PL
33530 1st Way S
Federal Way,WA 98003-6210
Ph.253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: LAVILLETTE
Project Address: 515 SW 322ND Parcel Number: 926490 1110
Project Description: Remove/replace electric water heater
Owner Applicant Contractor
John R Lavillette FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
515 SW 322ND ST 12601 132ND AVE NE 12601 132ND AVE NE
FEDERAL WAY WA KIRKLAND WA 98034 KIRKLAND WA 98034
98023-5633
(425)814-8381
Plumbing Fixtures
Description iQuantity Description 1_Quantity Description Quantity
r
Water Heaters
1
PERMIT EXPIRES December 21,2004.
Permit issued on June 24,2004
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: 4pl ickft 6'►l1 Date: l[(Ztq
t
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% THIS CARD IS TO REMAIN ON-SITE
CITY OF �� Community Development InspectionRe_ord
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-102511-00-PL
Owner: FAST WATER HEATER COMPANY
Address: 515 SW 322ND ST
FEDERAL WAY, WA 98023-5633
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
❑ Plumbing Groundwork(4190) ❑ Rough Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
❑ Final-Plumbing(4075)
Approved
By rW Date 7" mod/U�
_ ` REC OPMENTy- MF CO M:�•L DE EN FP
- =Ede a1 Way P E RN °° "N(�Fi'EcePMENT pggFF
EPARTAgENT
3753 R W�' 3-9718 APPLICATION2 4 2()nip / /
FEDERAL WAY,WA 98063-9718
253-6614115•FAX 253-6614129
dlWl7edem7wou wm
The ollowin. is re•uired in ormation-an into PROPERTY a p will not be acre,ted. Please •tint le.ibl (in in or
SUITE/UNIT#
SITE ADDRESS 515 SW 322nd St Federal Wa WA 98023 UITE/ N f fJ
ASSESSOR'S TAX/PARCEL# 926490111 0 — —- — — —
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) (Attach separatepagefor lengthy legal desaipeon)
PROJECT INFORMATION
TYPE OF PERMIT
❑ BUILDING 6(PLUMBING ❑ MECHANICAL
❑ DEMOLITION 0 ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
Remove/replace electric water heater
PROJECT NAME(Name of Business or Owner Last Name)
Lavillette
PEOPLE INFORMATION •
- - - PRIMARY PHONE
PROPERTY NAME (253 183E-4493
OWNER Lavillette John CITY STATE,ZIP
515 15 SW 322 St
MA ADDRESS Federal Way WA 98023
5
OFFICE PHONE(`
CONTRACTOR COMPANY NAME " 425814-3124
Fast Water Heater CELL PHONE
MAILING ADDRESS
L ION DATE, FAX NUMBER,li a –
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER a EXPIRATION.
/ ( 425 ) 814-9-516
9_-$ 7_-Q 0_0_4 _ s L
12 31 9 4 EXPIRATION DATE
CONTRACTOR'S REGISTRATION NUMBER(copy of cud required with each application( 2 X /16 / 5
FASTWHC052DF_ _ _ - - _ _
— — — — — OFFICE PHONE
APPLICANT COMPANY NAME
CELL PHONE
MAILING ADDRESS
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑Agent 0 Other(Describe)
E-MAIL ADDRESS
PRIMARY PHONE
iiiii
CONTACT NAME
LENDER Per ROW 19.27.095: Lender information is ,
required if project value exceeds'$5,000
MAILING ADDRESS
DETAILED BUILDING INFORMATION
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PROPOSED USE
EXISTING USE 340 0 0
$
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?D ( 0 YES 0 NO
❑ TACOMA , LL)
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE
PROJECT FLOOR AREAS
v.-.-.►:_.s1-----�-------...-..-" EXISTING S FT.
PROPOSED S•.FT. TOTAL
AREA DESCRIPTION
SECOND
THIRD IIIIIIIIIIIIIIIIIIIIIII
FOURTH ■
ADDITIONAL FLOORS(DESCRIBE) ININIIIIIIIIIIIIIIIIIII
DECK(COVERED?) IIIIIIIIIIIIIIIIIIIIIII
GARAGE/CARPORT TOTAL L%SiO G MD PROPOSED
HOW MANY FLOORS?
"NEW HOMES ONLY" NUMBER OF BEDROOMS
ESTIMATED SELLING PRICE $
FIXTURES _ __..-___ _____.—._....._.
Indicate number of each type o fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
ff
MECFIAMCAL
Value of Mechanical Work $___------ GAS LOGS REFRIG.SYSTEMS
EVAPORATIVE COOLERS W OODSTOV ES
MR HANDLING UNITS FANS HOODS Ico�=rd>tl MISC(Describe)
BBQS .RANGES
BOILERS FIREPLACE INSERTS GAS WATER HEATERS
FURNACES
COMPRESSORS GAS PIPE OUTLETS
DUCTS
PLUMBING SHOWERS WATER CLOSETS iroa<0
MISC(Describe)
DISHWASHERS ter ran/s� rcomevl SINKS DRINKING FOUNTAINS
DISHWASHERS SUMPS RAINWATER SYST
GAS HINE OUTLETS URINALS HOSE BIBBS
WASHING MACHINES ELECTRIC WATER HEATERS
VACUUM BREAKERS �-
LAVS Bathroom sink. •
DISCLAIMER/SIGNATURE BLOCK
I certify d under penalty owner perjury _ application is made. I further agree to hold
that the information furnished by me is true and correct to the be of my knowledge, and further, that I
am fees incurred in the investigation and defense of
harmless the City of Federal Way as to any claim(including costs,expenses, and attorneys f aPP
such claim) which may be made by any person,including the undersigned, and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
r DATE
1.i s i - �. !Title!
NAME/TITLE (Signature)
RELATIONSHIP TO PROJECT ❑ Owner o Agent
contractor ❑ Architect C Other
FOR OFFICE USE ONLY a REPAIR ❑TENANT IMPROVEMENT
a NEW a ADDITION a ALTERATION °y ❑NO
❑YES a NO BASIC PLAN? a YES a NO
BUILDING SHELL CHANGE OF USE?LL ONLY?
ZONING DESIGNATION UP/SEPA/SIJ? °YES °NO
NEW ADDRESS REQUIRED? a YES a NO
PLATTED LOT? ❑YES ❑NO
DEMO PERMIT REQUIRED? a YES a NO
P
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k\Handouts-Revised\Permit Application
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Bulletin!1100-March 30,2004